VULVANIN SERÖZ VE SİLİALI KİSTİ

Öz

Objective: The evaluation of 58 operated endometrial cancer patientsby means of diagnosis and treatment. Material and method: The cases were 58 endometrium cancer patients thet were diagnosed and treated in our clinic between January 2001 and February 2006. Results: The median age was 60.8 ± 13.2 (25-85 years of age). Considered to due to histopathologic subgroups, the most common was endometrioid adenocarcinoma with 45 cases (%77.7) followed by 5 cases of serous papillary carcinoma (%8.6), 7cases of mixed adenocarcinoma with clear cell component (%12) and 1 case of small cell carcinoma (%1.7). Surgical staging revealed the most common stage to be stage Ib1 (%38.3 of cases) and when patients screened for their grades,%60 (36) of cases found to be Grade II. The median endometrial tickness measured by transvaginal ultrasonograpy was 15.9 mm (5-36 mm). The estimated mean Ca 125 value was 92.6 U (4.4-1566). In the postoperative period,17 (%28.3) of cases were treated with adjuvant radiotherapy and 8 (%13.3) of them were treated with adjuvant chemotherapy. The medien follow up period was 15.6 ± 5.2 (1-43) months. Five (%8.3) of cases were died in follow up period. Conclusion: The prognosis of endometrium cancer patients vary due to the treatment, the histopathologic type,grade and the lvel of myometrial invasion.

Anahtar Kelimeler

• Vulvanın silialı kistleri oldukça nadirdir. Patogenezde kisti döşeyen silialı seröz müsinöz ve kolumnar epitelin vulvada bulunması tartışmalıdır. Muhtemelen mülerian epitelden kaynaklanmaktadır. Bu vakada orijini halen tartışmalı olan 12 yaşında bir bayanda vulvada silialı kist tanımladık.Ancak vulvanın kronik kaşıntıları bu kistlerin oluş mekanizmasında rol oynayabilir.